Individual provider Active NPI

Joseph Coover, RD, CNSC

  • Registered Dietitian
  • Baltimore, MD
National Provider Identifier
1225324916
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DX2796 Issued in MD
Practice address
600 N Wolfe St
Halstead 153
Baltimore, MD 21287-1900
Phone
(410) 955-5787
NPI assigned
Jun 22, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DX2796 MD Primary

Addresses

Primary practice location

600 N Wolfe St
Halstead 153
Baltimore, MD 21287-1900

Mailing address

600 N Wolfe St
Halstead 153
Baltimore, MD 21287-1900
Phone (410) 955-5787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DX2796MDMDRegistered Dietitian

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1225324916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N WOLFE ST",
            "address_2": "HALSTEAD 153",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212871900",
            "telephone_number": "410-955-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N WOLFE ST",
            "address_2": "HALSTEAD 153",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212871900",
            "telephone_number": "410-955-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOVER",
        "first_name": "JOSEPH",
        "credential": "RD, CNSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-22",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX2796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.